Determining the Marginal Willingness to Pay for the Cervical Cancer Screening Program in Croatia: A Best-Worst Scaling Approach

Nikolina Dukić Samaržija ()
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Nikolina Dukić Samaržija: Faculty of Economics, University of Rijeka, Rijeka, Croatia

Society and Economy, 2019, vol. 41, issue 4, 433-447

Abstract: Croatia is faced with a low response to cancer-screening programs, especially the national cervical cancer screening program, which ultimately resulted in its suspension. If judged solely on the basis of revealed preferences, such a poor response would imply that the population assigns a low social value to preventive screening programs. However, the question arises as to whether revealed preferences (the population’s response), in the case of the absence of response to a preventive program, provide insight into its value (utility). Therefore, the objective of this paper is to determine the value that respondents assign to different attributes of cervical screening and, in a broader sense, to decide whether the best-worst scaling (BWS) approach is appropriate for determining the marginal willingness to pay (MWTP) for public health programs. The MWTP for certain attributes of cervical cancer screening is derived from the results of a BWS study conducted in Primorje-Gorski Kotar County, Croatia. The cost function was estimated by regressing the conditional logit coeffi cients (level of utility) of three levels of the cost attribute on its corresponding values, that is, the hypothetical price. Because the sum of the MWTP corresponds with the market price of a gynecological examination in private practice, we conclude that the results obtained by the BWS confirm the revealed preferences (the market value of the service).

Keywords: best-worst scaling; Croatia; preferences; screening; willingness to pay (search for similar items in EconPapers)
JEL-codes: D12 I11 (search for similar items in EconPapers)
Date: 2019
Note: This study was funded by the Croatian Science Foundation under the project 6558 Business and Personal Insolvency – The Ways to Overcome Excessive Indebtedness; and by the University of Rijeka under the project Approaches and Methods of Cost and Management Accounting in the Croatian Public Sector (No. 13.02.1.2.09).
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